Jennifer Rene Rock, | |
801 W 5th Ave Ste 323, Spokane, WA 99204-2800 | |
(509) 342-3200 | |
Not Available |
Full Name | Jennifer Rene Rock |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 6 Years |
Location | 801 W 5th Ave Ste 323, Spokane, Washington |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1760976096 | NPI | - | NPPES |
196696-30 | Other | WI | WISCONSIN RN LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | 196696-30 (Wisconsin) | Secondary |
363L00000X | Nurse Practitioner | AP61114890 (Washington) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Deaconess Medical Center | Spokane, WA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Multicare Health System | 7719899897 | 1689 |
Entity Name | Multicare Health System |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1497766638 PECOS PAC ID: 7719899897 Enrollment ID: O20031105000760 |
Mailing Address | Practice Location Address |
---|---|
Jennifer Rene Rock, 801 W 5th Ave Ste 323, Spokane, WA 99204-2800 Ph: (509) 342-3200 | Jennifer Rene Rock, 801 W 5th Ave Ste 323, Spokane, WA 99204-2800 Ph: (509) 342-3200 |
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